• Maxillofacial Plastic and Reconstructive Surgery
• /
• v.34 no.1
• /
• pp.76-80
• /
• 2012

Adenoid cystic carcinoma is a distinctive neoplasm of the salivary gland and is the most common malignant tumor of submandibular gland. Although adenoid cystic carcinoma grows slowly, it shows aggressive tendencies with the ability to invade peripheral nerves. This ability enables an adenoid cystic carcinoma to extend along the nerves and spread long distances, resulting in high incidence of distant metastasis and recurrence. Therefore, radical resection is the treatment of choice for this carcinoma. We performed partial mandibulectomy, neck dissection and immediate reconstruction using a radial forearm free flap on a 54 year-old man with adenoid cystic carcinoma on the right submandibular gland. And as an adjunctive therapy, chemotherapy with cisplatin and 5-fluorouracil was used. We report our case along with a literature review.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• v.18 no.1
• /
• pp.120-124
• /
• 1996

The postoperative maxillary cyst develops as a delayed complication after surgical intervention or Caldwell-Luc operation in the maxillary sinus and was also reported that it could occur after Le Fort I osteotomy. This is also called as surgical cliated cyst because of its lining epithelium is usually lined by a pseudo-stratfied ciliated columnar epithelium. This report represents a case of postoperative maxillary cyst which developed within the anterior of maxilla and in association with nasal mucosa 6 years after a Le Fort I osteotomy. In 1989, 26-year-old male complained of his mandibular prognathism and underwent orthogmathic surgery, Le Fort I osteotomy, bilateral sagittal split ramus osteotomy, partial glossectomy.

• International Journal of High-Rise Buildings
• /
• v.2 no.2
• /
• pp.141-152
• /
• 2013

This paper presents a brief overview of the recently developed performance-control method of moment frame design subjected to monotonously increasing lateral loading. The final product of any elastic-plastic analysis is a nonlinear loaddisplacement diagram associated with a progressive failure mechanism, which may or may not be as desirable as expected. Analytically derived failure mechanisms may include such undesirable features as soft story failure, partial failure modes, overcollapse, etc. The problem is compounded if any kind of performance control, e.g., drift optimization, material savings or integrity assessment is also involved. However, there is no reason why the process can not be reversed by first selecting a desirable collapse mechanism, then working backwards to select members that would lead to the desired outcome. This article provides an overview of the newly developed Performance control methodology of design for lateral resisting frameworks with a view towards integrity control and prevention of premature failure due to propagation of plasticity and progressive P-delta effects.

• Archives of Craniofacial Surgery
• /
• v.13 no.2
• /
• pp.85-94
• /
• 2012

The world's first face transplantation was performed in France, in 2005. Since then, 21 cases of face transplantation have been performed. Face transplantation is one of the most prominent part of composite tissue allotransplantation (CTA) along with hand transplantation. Since these fields are not deal with life-saving organs, there are many arguments about immunosuppression therapy. Recent paradigm of face transplantation shows that surgical ranges are expanded from partial face transplantation to full face transplantation. Most immunosuppression protocols are triple therapy, which consists of tacrolimus (FK-506), mycophenolate mofetil and prednisolone. Anatomical researches, immunosuppression, and immunotolerance take great parts in the researches of CTA. The medical fields directly related to face transplantation are microsurgery, immunology, and transplantation. Nowadays, each field is performed widely. Therefore people, even medical teams think face transplantation could be easily realized, sooner or later. But there are lots of things that should be prepared for not only practice and immunosuppression therapy but also for the cooperation with relevant fields. That's the reason why only 21 cases of face transplantation have been done, while more than 70 cases of hand transplantation have been done in the past years. Especially in Korea, brain death patients are not enough even for organ transplantation and furthermore there are some troubles in taking part in the society of transplantation. Face transplantation has lots of problems concerning variable medical fields, administration, society, ethics, and laws. Therefore, for the realization of face transplantation in Korea, not only medical skills but also political powers are needed.

• Archives of Reconstructive Microsurgery
• /
• v.8 no.1
• /
• pp.71-76
• /
• 1999

Until recently, the cranial base tumors were deemed unresectable due to the inability to diagnose the extent of the involvement accurately and to approach and excise the tumor safely. With refinements in CT and NMR scanning and development of craniofacial techniques, reconstruction becomes absolutely crucial in allowing successful resection of these tumors. Resection of these tumors may sometimes result in massive and complex extirpation defects that are not amendable to local tissue closure. In such cases, the free tissue transfer was a useful alternative because it can provide large amount of well-vascularized tissues and reliable separation of intracranial space from bacterial flora of the upper airway. The microvascular free tissue transfer was used in 9 patients at our center to reconstruct the cranial base defects. Of these, 8 were free rectus muscle flaps, and 1 was free latissimua dorsi muscle flap. There were 1 case of partial flap loss and 1 case of postoperative wound infection. The large, complex defects were successfully reconstructed by one stage operation and the functional and aesthetic results were satisfactory with acceptable complication rates.

• Journal of Welding and Joining
• /
• v.33 no.2
• /
• pp.78-84
• /
• 2015

Self-piercing rivet(SPR) is mechanical joining methods and which can be joining dissimilar materials. Unlike conventional riveting, SPR also needs no pre-drilled holes. During plastically deformation, SPR pierces upper sheet and joins it to under sheet. SPR has been mainly applied to the joining the automobile body and some materials, such as glass fiber reinforced polymer and aluminum alloy, which represent the sheet-formed materials for lightweight automobile. Glass fiber reinforced plastic(GFRP) has been considered as a partial application of the automobile body which is lighter than steels and stronger than aluminium alloys. It is needed SPR to join Al alloy sheets and GFRP ones. In this paper, in order to design the rivet and anvil, which are suitable for GFRP, the joinability was examined through simulations of SPR joining between GFRP and Al alloy sheets. For this study, AutoCAD was used for the modeling and the simulated using commercial FEM code DEFORM-2D. The simulated results for SPR process joining between GFRP and Al alloys were confirmed by the same conditions as experimental trials.

• Archives of Plastic Surgery
• /
• v.47 no.4
• /
• pp.340-346
• /
• 2020

Background Adipofascial flaps covered with a skin graft address the challenges involved in reconstructing dorsal foot defects. The purpose of this study was to describe a large adipofascial flap based on the perforators of the dorsalis pedis artery for large foot defects. Methods Twelve patients aged 5-18 years with large soft tissue defects of the dorsal foot due to trauma were treated with an extended dorsalis pedis adipofascial flap from May 2016 to December 2018. The flap was elevated from the non-injured half of the dorsum of the foot. Its length was increased by fascial extension from the medial or lateral foot fascia to the plantar fascia to cover the defect. All perforators of the dorsalis pedis artery were preserved to increase flap viability. The dorsalis pedis artery and its branches were kept intact. Results The right foot was affected in 10 patients, and the left foot in two patients. All flaps survived, providing an adequate contour and durable coverage with a thin flap. Follow-up lasted up to 2 years, and patients were satisfied with the results. They were able to wear shoes. Donor-site morbidity was negligible. Two cases each of partial skin graft loss and superficial necrosis at the tip of the donor cutaneous flap occurred and were healed by a dressing. Conclusions The hinged multiperforator-based extended dorsalis pedis adipofascial flap described herein is a suitable method for reconstructing dorsal foot defects, as it provides optimal functional and aesthetic outcomes with minimal donor site morbidity.

• Structural Engineering and Mechanics
• /
• v.34 no.5
• /
• pp.563-580
• /
• 2010

Composite beams using bolts to attach steel plates to the side faces of existing reinforced concrete (RC) coupling beams can enhance both their strength and deformability. The behavior of those composite beams differs substantially from the behavior of typical composite beams made up of steel beams and concrete slabs. The former are subjected to longitudinal, vertical and rotational slips, while the latter only involve longitudinal slip. In this study, a mixed analysis method was adopted to develop the fundamental equations for accurate prediction of the load-carrying capacity of steel plate strengthened RC coupling beams. Then, a rigid plastic analysis technique was used to cope with the full composite effect of the bolt group connections. Two theoretical models for the determination of the strength of medium-length plate strengthened coupling beams based on mixed analysis and rigid plastic methods are presented. The strength of the strengthened coupling beams is derived. The vertical and longitudinal slips of the steel plates and the shear strength of the anchor-bolt connection group is considered. The theoretical models are validated by the available experimental results presented in a companion paper. The strength of the specimens predicted from the mixed analysis model is found to be in good agreement with that from the experimental results.

• The Journal of the Korean dental association
• /
• v.15 no.2
• /
• pp.115-120
• /
• 1977

Extensive avulsion of the scalp, or stripping of a large area of soft tissue from the skull, is a serious accidnet. The avulsed scalp is often injured otherwise, such as by crushing, tearing, or from multiple laceration. The surrounding skin may be devitalized. Replacement of the scalp is usually followed by necrosis and sloughing within a short time. In such instances, the outer table of the cranium may become sucessively exposed. dry, dead, and affected by osteomyelitis. Hence the securing of early healing to prevent these is of the utmost importance. The successful case of reimplantation of the completely avulsed scalp, which is exposured to air for about 14 hours, is reported, in which there was partial growth of hair afterwards. The avulsed scalp caused by her long hair being caught in a grain belt was contaminated with hairs & dust. Authors treated this 19-year old female patient by split thickness skin graft, intermediate skin graft, full thickness skin graft from her own avulsed scalp.

• Archives of Plastic Surgery
• /
• v.49 no.2
• /
• pp.240-252
• /
• 2022

Rather than just another "review," this is intended to be an "overview" of the entire subject of the medial sural artery perforator (MSAP) flap as has been presented in the reconstructive literature from its inception in 2001 until the present, with any exceptions not purposefully overlooked. Unfortunately, the pertinent anatomy of the MSAP flap is always anomalous like most other perforator flaps, and perhaps even more variable. No schematic exists to facilitate the identification of a dominant musculocutaneous perforator about which to design the flap, so some adjunctive technology may be highly valuable for this task. However, if a relatively thin free flap is desirable for a small or moderate sized defect that requires a long pedicle with larger caliber vessels, the MSAP flap deserves consideration. Indeed, for many, this has replaced the radial forearm flap such as for partial tongue reconstruction. Most consider the donor site deformity, even if only a conspicuous scar on the calf, to be a contraindication. Yet certainly if used as a local flap for the knee, popliteal fossa, or proximal leg, or as a free flap for the ipsilateral lower extremity where a significant recipient site deformity already exists, can anyone really object that this is not a legitimate indication? As with any perforator flap, advantages and disadvantages exist, which must be carefully perused before a decision to use the MSAP flap is made. Perhaps not a "workhorse" flap for general use throughout the body, the MSAP flap in general may often be a valuable alternative.